Dr. Dipti Mudgal, PHD
Psychologist in Brockton, Massachusetts
1437381019- Practice location
- 596 Summer St, Brockton, MA 02302
- Phone
- 508-588-8800
- Fax
- 508-588-4188
- Last updated
- May 14, 2018
Dipti Mudgal is a Psychologist based in Brockton, MA. Dipti Mudgal practices in Brockton, MA and has the professional credentials of PHD. The NPI Number for Dipti Mudgal is 1437381019 and holds a License No. 1-09-5080. The current practice location address for Dipti Mudgal is 596 Summer St, Brockton, MA 02302 and can be reached out via phone at 508-588-8800 and via fax at 508-588-4188.
Provider Profile Details
- NPI Number
- 1437381019
- Provider Name
- Dipti Mudgal
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 596 Summer St, Brockton, MA 02302
- Phone Number
- 508-588-8800
- Fax Number
- 508-588-4188
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 17, 2009
- Last Update Date
- May 14, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 596 Summer St
Brockton, MA 02302 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302
- Phone Number
- 508-588-8800
- Fax Number
- 508-588-4188
Provider Business Mailing Address Details
- Address
- 37 Eames Way
Marshfield, MA 02050-6325 - City
- Marshfield
- State
- MA
- Zip
- 02050-6325
- Phone Number
- 601-310-5856
License Information
- License Number (1)
- 1-09-5080
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- 8942
- License State (2)
- MA
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Brockton, MA
View all Psychologists in Brockton →Frequently Asked Questions
What is the NPI number of Dr. Dipti Mudgal, PHD?
The NPI number of Dr. Dipti Mudgal, PHD is 1437381019. It was assigned on August 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Dipti Mudgal, PHD?
Dr. Dipti Mudgal, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed under license number 1-09-5080.
Where does Dr. Dipti Mudgal, PHD practice?
The practice location is 596 Summer St, Brockton, MA 02302. The office can be reached at 508-588-8800 (phone) or 508-588-4188 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437381019 directly on the NPPES registry website.